PERSONALITY FACTORS AND ELEVATED DEPRESSIVE SYMPTOMS AMONG MEXICAN ADULTS AGED 50 AND OLDER WITH PAIN

Abstract Older adults with pain are at risk for developing elevated depressive symptoms. Personality factors, including internal locus of control (LOC) and conscientiousness, have been associated with fewer depressive symptoms in older adults. Our objective was to examine LOC and conscientiousness as potential buffers of depressive symptoms among Mexican adults aged 50 and older with pain. We used data from the Mexican Health and Aging Study (2015-2018). We included participants who reported frequent pain at both waves (n=2,211). LOC and conscientiousness were measured continuously, with higher values indicating a more internal LOC or conscientious personality. We incorporated depressive symptoms from both waves to create a 4-level depressive symptoms variable: stable low/ no depression (< 5/< 5), recently remitted (5+/< 5), recent onset (< 5/5+), and stable high (5+/5+). We used multinomial logistic regression models to assess the association between personality and depressive symptoms, adjusting for sociodemographic variables. At baseline, participants (73.2% women) were on average 67.6 years old. A more internal LOC was associated with a lower risk of stable high depressive symptoms compared to those with stable low/no depression symptoms [Relative Risk Ratio: 0.82, 95% confidence interval: 0.72, 0.92). Both personality factors were not associated with recently remitted or recent onset depressive symptoms. In a sample of older adults with pain, those with a more internal LOC had decreased risk of experiencing stable high depressive symptoms. Internal LOC may alter the perception of pain. Interventions on orienting individuals to a higher internal LOC may be helpful in pain management by mitigating comorbid depressive symptoms.

Regional Hospital,Rapid City,South Dakota,United States,5. Sanford Roger Maris Cancer Center,Fargo,North Dakota,United States Purpose: The purpose of this project was to develop and evaluate the feasibility and effectiveness of the Mobile Web App Breast Cancer Screening (wMammogram) intervention among American Indian (AI) women.Method: Using a randomized controlled trial design, 122 AI women (40-70 years old) were recruited and randomly assigned to the wMammogram group (n=62) to receive culturally and personally tailored multimedia messages through a mobile web app along with health navigator services or the control group (n=60) to receive a printed educational brochure.Outcome measures included mammogram receipt, intention to receive breast cancer screening after the intervention, and satisfaction with and perceived effectiveness of the intervention.Result: A significantly higher proportion of women who received the intervention (42%, 26/62; p<.01) completed mammograms by the 6-month follow-up compared with the control group (20%, 12/60).The wMammogram group, compared with the control group, reported significantly higher ratings on perceived effectiveness of the intervention (t120=-5.22,p<.001), increase in knowledge (t120=-4.75,p<.001), and satisfaction with the intervention (t120=-3.61,p<.001).The wMammogram group also expressed greater intention to receive a mammogram in the future when it is due (100%, 62/62 vs. 85%, 51/60) and were more willing to recommend the intervention they received to their friends (98.4%, 61/62 vs. 90%, 54/60) compared with the brochure group.These differences were statistically significant.
Conclusion: Based on our results, a mobile web app-based intervention combined with health navigator service was a feasible, acceptable, and effective intervention mechanism aimed at promoting breast cancer screening in AI women.

FOOD TALK AS AGING TALK: LISTENING TO OLDER ITALIANS
Anne Barrett 1 , Monica Consolandi 2 , and Eliana Fattorini 3 , 1.Florida State University,Tallahassee,Florida,United States,2. Bruno Kessler Foundation,Trento,Italy,3. University of Trento,Trento,Italy An extensive literature in gerontology examines older adults' diets and their effects on health and longevity.Much less research examines how food, including experiences of its scarcity and plentitude across the life course, shape older adults' constructions of their own aging.Our study addressed this topic using semi-structured interviews conducted in a mid-sized northern Italian city in 2018-2019 (n=28) and 2022 (n=23).Analyses revealed that participants used vivid references to food -a topic that was not the focus of any interview questions -to illustrate their experiences of aging.Participants' food talk referenced different tenses of time, including durable food memories from the distant past and more ephemeral food activities and concerns of the present.Participants also referred to food when making different comparisons that shaped assessments of their own aging experiences, including comparisons with older family members in the past and age peers in the present.Food figured into participants' discussions of aging in four ways: food as anchors for childhood memories, intergenerational comparisons of food's plentitude versus scarcity in later life, food choices to support aging well, and food sharing to sustain social relationships.Our study illustrates the use of food a lens for understanding individuals' aging experiences, as embedded in historical times that give them meaning.
Abstract citation ID: igad104.2716Yuyang Zhu 1 , Yiming Ma 2 , Fengyan Tang 3 , and  Yanping Jiang 2 , 1 Gambling is a common but not harm-free social practice.Few studies have investigated the long-term impact of gambling activities on psychological well-being among racial/ ethnic minority groups in the U.S.This study aimed to close this gap by examining the associations between gambling, problem gambling, and psychological well-being among older Chinese immigrants.We drew data from 2,811 (58% female) participants aged 60 years or older in the Population Study of Chinese Elderly in Chicago Study who completed the baseline assessment and at least one of the three follow-ups that were conducted every two years.Gambling participation was assessed using Modified South Oaks Gambling Screen and Problem Gambling Severity Index.The responses were used to categorize participants: never gambled (the reference group), participated in gambling, and problem gambling.Psychological well-being was assessed using Patient Health Questionnaire-9 and Hospital Anxiety and Depression Scale.Of all participants, 761 reported ever participating in gambling activities, and 52 reported problem gambling experiences.Participants who participated in gambling reported the lowest baseline scores of depression and anxiety compared to the other two groups.However, gambling participation predicted faster increases in depression (β=0.076,p=0.01) and anxiety (β=0.103,p=0.02) over time.Also, problem gambling was associated with a faster increase in anxiety (β=0.083,p=0.02).These results show a faster increase in psychological distress related to gambling participation over time.Culturally responsive interventions to reduce gambling activities and their impacts on psychological well-being are needed to promote health among this population.Older adults with pain are at risk for developing elevated depressive symptoms.Personality factors, including internal locus of control (LOC) and conscientiousness, have been associated with fewer depressive symptoms in older adults.

GAMBLING AND PSYCHOLOGICAL WELL-BEING AMONG OLDER CHINESE ADULTS IN THE US
Our objective was to examine LOC and conscientiousness as potential buffers of depressive symptoms among Mexican adults aged 50 and older with pain.We used data from the Mexican Health and Aging Study (2015Study ( -2018)).We included participants who reported frequent pain at both waves (n=2,211).LOC and conscientiousness were measured continuously, with higher values indicating a more internal LOC or conscientious personality.We incorporated depressive symptoms from both waves to create a 4-level depressive symptoms variable: stable low/ no depression (< 5/< 5), recently remitted (5+/< 5), recent onset (< 5/5+), and stable high (5+/5+).We used multinomial logistic regression models to assess the association between personality and depressive symptoms, adjusting for sociodemographic variables.At baseline, participants (73.2% women) were on average 67.6 years old.A more internal LOC was associated with a lower risk of stable high depressive symptoms compared to those with stable low/no depression symptoms [Relative Risk Ratio: 0.82, 95% confidence interval: 0.72, 0.92).Both personality factors were not associated with recently remitted or recent onset depressive symptoms.In a sample of older adults with pain, those with a more internal LOC had decreased risk of experiencing stable high depressive symptoms.Internal LOC may alter the perception of pain.Interventions on orienting individuals to a higher internal LOC may be helpful in pain management by mitigating comorbid depressive symptoms.

THE JOINT EFFECTS OF PAIN AND ELEVATED DEPRESSIVE SYMPTOMS AMONG MEXICAN AMERICANS AGED 80 AND OLDER
Claudia Sanchez 1 , Phillip Cantu 2 , Kyriakos Markides 1 , and Sadaf Milani 1 , 1. University of Texas Medical Branch, Galveston, Texas, United States, 2. UTMB, Galveston, Texas, United States Pain and depression are common among older Hispanic adults and their combined effects may increase mortality.We examined the joint effects of pain and depressive symptoms on mortality.We used data from the Hispanic Established Population for the Epidemiologic Study of the Elderly (2010-2016), which included Mexican Americans aged 80 and older in the Southwestern US.Participants were categorized into four groups based on self-reported pain on weight-bearing and depressive symptoms: no pain or elevated depressive symptoms, pain only, elevated depressive symptoms only, or both pain and elevated depressive symptoms.Depressive symptoms were measured using the Center for Epidemiologic Studies Depression scale.A score of 16 or more was considered elevated depressive symptoms.Cox proportional hazards models were used to estimate the joint relationship of pain and depressive symptoms with mortality.We examined social support as a potential effect modifier.At baseline, 35.9% reported pain only, 8.6% of participants reported elevated depressive symptoms only, and 16.9% reported pain and elevated depressive symptoms (n=836).Over 6 years of follow-up, 46.2% of the sample died.Those with pain and elevated depressive symptoms had 1.41 times the risk of mortality compared to those without pain or elevated depressive symptoms (95% confidence interval: 1.05, 1.09).
Having pain or elevated depressive symptoms only was not significantly associated with mortality.Social support was not a significant effect modifier.Our findings highlight the importance of screening for pain and elevated depressive symptoms among older Mexican Americans.

SOCIAL CONNECTEDNESS AND ISOLATION
Abstract citation ID: igad104.2719

ACTIVE USE OF ONLINE COMMUNITY REDUCES LONELINESS AMONG OLDER ADULTS THROUGH WEAK TIES FORMATION
Nahyun Kim, and Keiko Katagiri, Kobe University, Kobe, Hyogo, Japan Online communities could aid older adults in expanding their social connections and developing weak ties, which may help alleviate their loneliness.However, research investigating the impact of online community participation on the formation of weak ties among older adults remains lacking.This study aimed to investigate 1) the relationship between active use of an online community designed for older adults and the formation of weak ties within the platform, and 2) the potential for these weak ties to alleviate loneliness among members.The online community platform for older adults allowed users to post diary entries and photos, join interest-based communities, and organize virtual and in-person events.An online survey was conducted among members aged 60 to 79 years (N=862).The survey measured active use, weak ties (measured by the number of mutual followers), and loneliness.Path analysis showed that active engagement in the online community was positively associated with the formation of weak ties, which, in turn, were negatively associated with loneliness.Thus, older adults who frequently posted own content and participated in community activities were more likely to form many weak ties in the platform, and these weak ties may help reduce their loneliness.However, this study only examined online community use, meaning that further research is needed to explore the relationship between general social networking services use and weak ties, as well as examine the context of the passive use of these services.

ASSOCIATION OF EVERYDAY LIFE INFORMATION ACQUISITION METHODS AND DEPRESSION AMONG US OLDER ADULTS
Wuyi Dong, Yan-Jhu Su, and Andrew Alberth, University of Massachusetts Boston, Boston, Massachusetts, United States Everyday life information acquisition refers to the incidental ways people obtain information through daily activities such as reading, watching television, or communicating with friends rather than through intentional or purposive information seeking behaviors.It has been identified as a fundamental way to obtain informational resources and is a potential means to promote social connections and engagement among older adults.Research has shown that social engagement and connections are protective factors . Rutgers University, Piscataway, New Jersey, United States, 2. Rutgers University, New Brunswick, New Jersey, United States, 3. University of Pittsburgh, Pittsburgh, Pennsylvania, United States